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01-03-2008 | Case Report

Left coronary to right ventricle fistula in a child: management strategy based on cardiac-gated 64-slice CT

Authors: Davide Marini, Gabriella Agnoletti, Francis Brunelle, Damien Bonnet, Phalla Ou

Published in: Pediatric Radiology | Issue 3/2008

Abstract

Congenital coronary fistulae are a diagnostic challenge. A prerequisite for best management is accurate anatomical evaluation, traditionally provided by invasive catheter angiography. Multislice CT (MSCT) is an emerging noninvasive technique for coronary artery evaluation. We present a 3-year-old boy and highlight the clinical usefulness of new-generation MSCT to study coronary artery fistulae in children. Multiplanar and 3-D reconstruction offer invaluable information to plan the best therapeutic strategy in this setting. We provide evidence for the expanding clinical role of MSCT for coronary artery imaging in children.

Ou P, Celermajer DS, Calcagni G et al (2007) Three-dimensional CT scanning: a novel diagnostic modality in congenital heart disease. Heart 93:908–913PubMedCrossRef

Liberthson RR, Sagar K, Berkoben JP et al (1979) Congenital coronary arteriovenous fistula. Report of 13 patients, review of the literature and delineation of management. Circulation 59:849–854PubMed

Mavroudis C, Backer CL, Rocchini AP et al (1997) Coronary artery fistulas in infants and children: a surgical review and discussion of coil embolization. Ann Thorac Surg 63:1235–1242PubMedCrossRef

Sherwood MC, Rockenmacher S, Colan SD et al (1999) Prognostic significance of clinically silent coronary artery fistulas. Am J Cardiol 83:407–411PubMedCrossRef

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Title: Left coronary to right ventricle fistula in a child: management strategy based on cardiac-gated 64-slice CT
Authors: Davide Marini
Gabriella Agnoletti
Francis Brunelle
Damien Bonnet
Phalla Ou
Publication date: 01-03-2008
Publisher: Springer-Verlag
Published in: Pediatric Radiology / Issue 3/2008
Print ISSN: 0301-0449
Electronic ISSN: 1432-1998
DOI: https://doi.org/10.1007/s00247-007-0664-1

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Left coronary to right ventricle fistula in a child: management strategy based on cardiac-gated 64-slice CT

Abstract

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

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